Position Summary
The Risk Analyst serves as a key member of the Risk Management team, supporting workers’ compensation and liability claims administration, return-to-work initiatives, insurance compliance, and vendor oversight. This role acts as a liaison between injured employees, operations and third-party administrators (TPAs) to ensure claims are managed proactively, employees are supported throughout the recovery process, and organizational risk management objectives are achieved.
Essential Duties and Responsibilities
Claims Management & TPA Oversight
- Monitor and oversee the handling of workers' compensation and auto liability property damage claims managed by third-party administrators (TPAs).
- Collaborate with TPA claim examiners to ensure claims are managed strategically, proactively, and in accordance with best practices.
- Review claim activity, potential red flags reserve adequacy, litigation strategy, settlement opportunities, and responsiveness.
- Escalate significant claim issues and provide recommendations for appropriate resolution strategies.
- Serve as the Field point of contact regarding workers' compensation claim questions and concerns.
Return-to-Work Coordination & Employee Advocate
- Act as a resource and advocate for injured employees throughout the claim and recovery process.
- Coordinate with operations, human resources and TPA to facilitate timely and safe return-to-work opportunities.
- Partner with location leadership to identify and implement modified duty assignments consistent with medical restrictions.
- Promote return-to-work best practices to reduce lost workdays and improve employee outcomes.
Insurance Administration
- Lead issuance of Certificates of Insurance (COIs) and automobile identification cards.
- Respond to insurance documentation requests from customers, vendors, and internal stakeholders.
- Review insurance provisions and related insurance language in customer contracts.
Compliance & Financial Administration
- Process and track invoices related to claims, insurance premiums, and risk management vendors.
- Prepare and submit quarterly workers' compensation filings for monopolistic state programs, ensuring compliance with applicable state requirements.
- Support audits, renewal processes, and special projects as assigned.
Qualifications
- Bachelor's degree in Risk Management, Business Administration, Finance, Insurance, Human Resources, or related field preferred.
- 5-7 years of experience in workers' compensation and liability claims, risk management, or insurance administration.
- Working knowledge of workers' compensation claim management and return-to-work programs.
- Experience collaborating with TPAs, insurance carriers, brokers, and operational leadership.
- Strong organizational, analytical, and problem-solving skills.
- Excellent verbal and written communication skills with the ability to engage effectively with employees at all levels of the organization.
- Experience creating Power BI dashboards a plus.
- Proficiency in Microsoft Office applications, particularly Excel, Word and Outlook.
This position is ideal for someone who enjoys a blend of claims oversight, employee advocacy, operational partnership, and insurance administration rather than serving as a traditional claims adjuster.